Topics
Reimbursement
CMS updates inpatient rehabilitation facility payments by 2.4% for 2021
CMS updates IRF payments by 2.4%
Revenue Cycle Management
Healthcare CFOs look to technology and automation for COVID-19 recovery
CFOs look to tech for COVID-19 recovery
Strategic Planning
Health systems need to be flexible to recoup lost finances, experts say
Health systems need to be flexible to recoup lost finances, experts say
Capital Finance
Healthcare real estate remains attractive to investors despite COVID-19 pandemic
Healthcare real estate remains attractive to investors
Supply Chain
Trump orders agencies to purchase U.S. made drugs and medical supplies
Trump orders domestic purchase of drugs and supplies
Accounting & Financial Management
Pandemic threatening high-yield healthcare liquidity
Pandemic threatening high-yield healthcare liquidity
Budgeting
A dynamic healthcare budget process may trump traditional budgeting in terms of accuracy, flexibility
Benefits of a dynamic budgeting process
Quality and Safety
Mayo Clinic tops Best Hospitals list released by U.S. News & World report
U.S. News ranks Best Hospitals of 2020-21
Billing and Collections
Blue Shield of California is offering providers up to $200 million during COVID-19 crisis
Blue Shield of California offers providers $200M
Claims Processing
Epic connects with HCSC on payer data exchange platform
Epic connects with HCSC on payer data exchange platform
Workforce
Physician practices with more female doctors have smallest gender pay gaps
Practices with more women have smaller wage gap
Operations
HIMSS announces August date for 2021 annual global conference
HIMSS announces August date for 2021 annual global conference
Medical Devices
Proper implementation of chatbots in healthcare requires diligence
Diligence is needed when implementing chatbots
Hospital/physician relations
Quality of initial training makes a big difference in EHR satisfaction, KLAS report finds
Poor EHR training brings down provider satisfaction
Construction & Facilities Management
Kindred Healthcare and Dignity Health to open new inpatient rehabilitation hospital in Arizona
Kindred Healthcare and Dignity Health to open new IRF
Compliance & Legal
DOJ brings lawsuit against Cigna for allegedly submitting $1.4 billion in false Medicare Advantage claims
DOJ sues Cigna for allegedly submitting $1.4B worth of false MA claims
Policy and Legislation
Trump to sign executive order requiring insurers to cover preexisting conditions
Trump to sign executive order requiring insurers to cover preexisting conditions
Community Benefit
Blue Cross Blue Shield of Massachusetts is giving $101 million in premium refunds
BCBS of Massachusetts is giving $101M in premium refunds
Accountable Care
Providers support Value in Health Care Act that amends MACRA payment model
Providers support Value in Health Care Act that amends MACRA
Acute Care
Emergency department visits fall by at least 40% during pandemic
ED visits fall by at least 40% during pandemic
Ambulatory Care
Medical schools, teaching hospitals account for 3% of US GDP, report shows
Med schools, teaching hospitals are 3% of GDP
Analytics
Colorado HIEs have improved outcomes, costs for jails via speedy information access
HIEs in Colorado have lowered costs for inmate care
Business Intelligence
While the price of healthcare is growing, utilization is dropping and price variations persist, report says
HCCI: Price of healthcare is growing, utilization is dropping, price variations persist
ICD-10 & Coding
Physician practices examine risk adjustment coding in wake of federal lawsuits
Practices keeping close watch on risk adjustment coding
Meaningful Use
CMS overhauls meaningful use EHR program, renames it 'Promoting Interoperability'
CMS overhauls meaningful use as 'Promoting Interoperability'
Medicare & Medicaid
Medicare beneficiaries aren't confident in government COVID-19 response
Medicare beneficiaries aren't confident in COVID-19 response
Patient Engagement
SCAN Health Plan launches Rally platform for its members
SCAN Health Plan launches Rally platform for its members
Pharmacy
Drug price forecast estimates 3.29% increase in hospital drug spending for 2021
Hospital drug spending estimated to rise 3.29%
Population Health
HHS official says turnaround times for COVID-19 tests are faster than reported
HHS official says turnaround for tests is faster than reported
Risk Management
Cybersecurity needs to be put in business terms
Cybersecurity needs to be put in business terms
Telehealth
Telehealth seems here to stay - so how can it be improved?
Telehealth seems here to stay - so how can it be improved?
Mergers & Acquisitions
DOJ sues to block Geisinger Health's partial acquisition of Evangelical Community Hospital
DOJ sues to block Geisinger's partial acquisition of Evangelical
View more

ICD-10

In-depth

CMS increases Medicare payment for three types of providers

CMS increases Medicare payment for three types of providers

Skilled nursing facilities will get a $750 million, or 2.2%, boost for 2021.

CMS announces two payment initiatives for COVID-19 drug treatment and counseling

CMS announces two payment initiatives for COVID-19 drug treatment and counseling

One tracks the effectiveness of COVID-19 drug therapies and the other pays for…

Whitepapers

Payers: Powering the Member Experience, Why a Data Strategy Matters

Payers: Powering the Member Experience, Why a Data Strategy Matters

Healthcare payer organizations are looking to new classes of data to enhance member…

Powering the Member Experience: Why a Strong Data Strategy Matters

Powering the Member Experience: Why a Strong Data Strategy Matters

Like other savvy digital consumers, health plan members expect meaningful, flexible, and…

Latest News

August 3, 2020 | Susan Morse

CMS increases Medicare payment for three types of providers

July 30, 2020 | Susan Morse

CMS announces two payment initiatives for COVID-19 drug treatment and counseling

April 27, 2020 | Jeff Lagasse

Prior authorization requirements have been eased during the COVID-19 pandemic, but frustrations remain

September 23, 2019 | Susan Morse

Few Medicare Advantage insurers use new benefit flexibility to address the social determinants of health

April 22, 2019 | Susan Morse

CMS proposes $887 million increase for skilled nursing facilities

April 2, 2019 | Jeff Lagasse

AMA, UnitedHealthcare team up on billing codes that address social determinants of health

October 5, 2018 | Susan Morse

Hospitals and physician groups take on risk in BPCI Advanced model

VIEW ALL NEWS

MostPopular

Former Kaiser CEO George Halvorson promotes universal 'Medical Advantage' for all

Former Kaiser CEO George Halvorson promotes universal 'Medical Advantage' for all

CMS increases Medicare payment for three types of providers

CMS increases Medicare payment for three types of providers

COVID-19 is reducing physician compensation

COVID-19 is reducing physician compensation

Trump executive order makes telehealth permanent 

Trump executive order makes telehealth permanent 

UPDATED: List of 2020 Medicare Advantage star ratings

UPDATED: List of 2020 Medicare Advantage star ratings

False-negative tests highlight need for accuracy

False-negative tests highlight need for accuracy

Optum: UnitedHealth's secret weapon

Optum: UnitedHealth's secret weapon

News

Once-failing hospitals say accountability, transparency key to surviving fallout from failing patient safety grades

Once-failing hospitals say accountability, transparency key to surviving fallout from failing patient safety grades

When Leapfrog released their Spring 2016 patient safety grades recently, 15 hospitals got slapped with a very public 'F' grade casting a spotlight on them that no institution wants. But with more patients weighing public hospital grades, experts, as well as a few…

Analyze this: Health systems, health plans get to the core of big data

Analyze this: Health systems, health plans get to the core of big data

Pamela Peele knows that people who subscribe to cooking magazines have a much higher risk of going to the emergency room. But how she knows that is a whole other story.

Healthcare mergers and acquisitions in 2016: Running list

Healthcare mergers and acquisitions in 2016: Running list

While 2015 was a record-breaking year in healthcare mergers and acquisitions, 2016 saw more change as organizations across the industry adjust and adapt to the evolving financial landscape.

Whitepapers

Clinical Quality Measures 101

Clinical Quality Measures 101

Although quality-reporting programs such as meaningful use provide incentives to help providers implement and use electronic health records (EHRs) to collect and report on clinical data, practices often need help deciding what data to collect, which measures to…

Gaining Actionable Insight into Financial Systems and Areas Impacting the Revenue Cycle

Gaining Actionable Insight into Financial Systems and Areas Impacting the Revenue Cycle

Hospital systems across the country are looking to streamline their billing and collection processes to become more efficient and better compete in their markets. The challenge many face is how to turn the data that's already flowing through financial systems into…

Credible, Defensible Estimates

Credible, Defensible Estimates

In healthcare, every interaction with the patient matters. Especially in today's environment of continuous improvement, efforts have been concentrated on coordination among providers, the patient care experience and quality outcomes - all laudable goals.